- Assessment of National infection prevention and control program in 2018-2023 at the national level: analysis of trends and priority directions of improvement
Assessment of National infection prevention and control program in 2018-2023 at the national level: analysis of trends and priority directions of improvement
Modern Pediatrics. Ukraine. (2024). 8(144): 15-18. doi: 10.15574/SP.2024.8(144).1518
Aleksandrin A. V.
Non-governmental organization Infection control in Ukraine, Kyiv
For citation: Aleksandrin AV. (2024). Assessment of National infection prevention and control program in 2018-2023 at the national level: analysis of trends and priority directions of improvement. Modern Pediatrics. Ukraine. 8(144): 15-18. doi: 10.15574/SP.2024.8(144).1518.
Article received: Sep 12, 2024. Accepted for publication: Dec 10, 2024.
The Implementation of Key Components of an Infection Prevention and Control (IPC) Program at the national level is designed to support countries and health care institutions in developing and strengthening IPC programs and strategies to prevent healthcare-associated infections (HAI). In order to comprehensively assess the implementation of IPC programs at the national level, the World Health Organization developed the Infection Control Assessment Tool (IPCAT2). The objective of IPCAT2 is to provide technical assistance to countries to determine which core components of IPC are implemented, as well as to identify gaps or weaknesses in the key components of IPC
Aim – is to conduct a comparative assessment of the national IPC program at the national level in Ukraine.
Materials and methods. In order to assess the implementation of key components of the IPC program in Ukraine, IPCAT2 was used and the national program was assessed in 2018, 2021 and 2023 by analyzing existing regulatory and technical documents.
Results. The assessment of the national IPC program at the national level in Ukraine demonstrated the strengthening of the national program from 17.5% in 2018 to 59.8% implementation in 2023. According to the results of the assessment in 2023, the implementation of the IPC Program was 96% of the recommended indicator, the implementation of the IPC Guidelines – 56%, the IPC Education and Training component – 38%, Epidemiological surveillance for HAI – 73%, IPC Multimodal strategies – 63%, IPC Monitoring and feedback – 33%. The greatest progress is noted in the implementation of the national IPC program, IPC guidelines and the implementation of multimodal approaches. The least implemented aspects are education, training and monitoring of IPC.
Conclusions. The IPC program assessment with the IPCAT2 tool is a useful tool for optimizing and strengthening IPC at the national level. The assessment helped to form priority areas for the development of the IPC program in Ukraine.
The author declares no conflict of interest.
Keywords: infection control, infection prevention, healthcare-associated infections.
REFERENCES
1. Aghdassi SJS, Hansen S, Bischoff P, Behnke M, Gastmeier P. (2019, May 8). A national survey on the implementation of key infection prevention and control structures in German hospitals: results from 736 hospitals conducting the WHO Infection Prevention and Control Assessment Framework (IPCAF). Antimicrob Resist Infect Control. 8: 73. https://doi.org/10.1186/s13756-019-0532-4; PMid:31080588 PMCid:PMC6505265
2. Harun MGD, Anwar MMU, Sumon SA, Hassan MZ, Haque T, Mah-E-Muneer S et al. (2022, Oct 6). Infection prevention and control in tertiary care hospitals of Bangladesh: results from WHO infection prevention and control assessment framework (IPCAF). Antimicrob Resist Infect Control. 11(1): 125. https://doi.org/10.1186/s13756-022-01161-4; PMid:36203207 PMCid:PMC9535892
3. Kabinet Ministriv Ukrainy. (2023). Pro vnesennia zmin u dodatok 3 do Typovoi formy dohovoru pro medychne obsluhovuvannia naselennia za prohramoiu medychnykh harantii. URL: https://www.kmu.gov.ua/npas/pro-vnesennia-zmin-u-dodatok-3-do-typovoi-formy-a376.
4. Tartari E, Tomczyk S, Pires D, Zayed B, Coutinho Rehse AP, Kariyo P et al. (2021, Feb). Implementation of the infection prevention and control core components at the national level: a global situational analysis. J Hosp Infect. 108: 94-103. Epub 2020 Nov 30. https://doi.org/10.1016/j.jhin.2020.11.025; PMid:33271215 PMCid:PMC7884929
5. Tomczyk S, Twyman A, de Kraker MEA, Coutinho Rehse AP, Tartari E, Toledo JP et al. (2022, Jun). The first WHO global survey on infection prevention and control in health-care facilities. Lancet Infect Dis. 22(6): 845-856. Epub 2022 Feb 21. PMCID: PMC9132775. https://doi.org/10.1016/S1473-3099(21)00809-4; PMid:35202599
6. Verkhovna rada Ukrainy. (2019). Pro zatverdzhennia Natsionalnoho planu dii shchodo borotby iz stiikistiu do protymikrobnykh preparativ. Ofitsiinyi Vebportal Parlamentu Ukrainy. URL: https://zakon.rada.gov.ua/laws/show/116-2019-%D1%80#Text
7. Verkhovna rada Ukrainy. (2021). Pro orhanizatsiiu profilaktyky infektsii ta infektsiinoho kontroliu v zakladakh okhorony zdorov'ia ta ustanovakh/zakladakh nadannia sotsialnykh posluh/ sotsialnoho zakhystu naselennia. (n.d.). Ofitsiinyi Vebportal Parlamentu Ukrainy. URL: https://zakon.rada.gov.ua/laws/show/z1318-21#Text.
8. WHO. (2016). Guidelines on core components of infection prevention and control programmes at the national and acute healthcare facility level. Geneva: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO.
9. WHO. (2017). Instructions for the national infection prevention and control assessment tool 2 (IPCAT2). Updated June 2017. Geneva: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO.
